DR. DEAN THEODORE KARAMPELAS MD
NPI 1356373336
Internal Medicine - Critical Care Medicine in Gainesville, GA

NPI Status: Active since July 07, 2006

Contact Information

743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-9000
Fax: (770) 219-6021

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  • Individual
  • Male
  • Years of Experience 47
  • Internal Medicine
  • Critical Care Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DEAN KARAMPELAS

This page provides the complete NPI Profile along with additional information for Dean Karampelas, an internist established in Gainesville, Georgia with a medical specialization in Internal Medicine, focusing in critical care medicine and more than 47 years of experience. He graduated from University Of South Florida College Of Medicine in 1979. The healthcare provider is registered in the NPI registry with number 1356373336 assigned on July 2006. The practitioner's primary taxonomy code is 207RC0200X with license number 026141 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1356373336
Provider Name
DR. DEAN THEODORE KARAMPELAS MD
Gender
Male
Entity Type
Individual
Location Address
743 SPRING ST NE GAINESVILLE, GA 30501
Location Phone
(770) 219-9000
Location Fax
(770) 219-6021
Mailing Address
PO BOX 742616 ATLANTA, GA 30374
Mailing Phone
(770) 219-8420
Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year
1979
Is Sole Proprietor?
No
Enumeration Date
07-07-2006
Last Update Date
05-23-2024
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An internist like Dean Karampelas is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1200 Northside Forsyth Dr
    Cumming, GA 30041
    (770) 844-3200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Critical Care Medicine

Taxonomy Code
207RC0200X
Type
Allopathic & Osteopathic Physicians
License No.
026141
License State
GA
Taxonomy Description
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

026141 (GA)
2207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

026141 (GA)
3208M00000XAllopathic & Osteopathic Physicians

Hospitalist

026141 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
002856231MEDICAID (05)GA 

Medicare Participation & PECOS Enrollment Status

Dean Karampelas is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Dean Karampelas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133142813

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100528000558

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 76 times for 36 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 25 times for 17 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.02 for a new patient copayment and $23.71 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30501 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.1
  • Minimum New Patient Price $53.31
  • Maximum New Patient Price $164.04
  • Average New Patient Copayment $31.02
  • Minimum New Patient Copayment $13.32
  • Maximum New Patient Copayment $41.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.84
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $133.24
  • Average Established Patient Copayment $23.71
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. DEAN THEODORE KARAMPELAS MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356373336
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310667636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 6 + 7 + 6 + 3 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1356373336 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881673796DR. GONZALO VILLALOBOS MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1538139670 LISA RENEE JUE M.D.
Individual
Hospitalist743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 533-6645
1528038122 JENNIFER H. WILLIAMS M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 533-6645
1316910359DR. PRESTON BALL MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1942273990DR. DONALD FREEMAN MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1013980069DR. PHILIPPE GADEGBEKU MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1184697146DR. ROBERT GISNESS MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1265405229DR. FRANKLIN DOUGLAS HARKRIDER MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1992778591DR. SHERRY BROCK MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1558338483DR. HEIDI T NICHOLSON MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1386610202 TODD JORDAN MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1043286966DR. GEORGE HOULDITCH MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1093781924DR. GARY KEMPLER MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1518933449DR. PAUL MERLIS MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1962479782DR. DAVID I LUBIN MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1326098856DR. MICHAEL IRA APPEL M.D.
Individual
Anesthesiology743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 532-7179
1356392856DR. NANCY CHEN M.D.
Individual
Anesthesiology743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 532-7179
1801848551 SANDRA D PARSONS AAC
Individual
Anesthesiologist Assistant743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 534-1312
1366495343 JASON PAUL LAURY AAC
Individual
Anesthesiologist Assistant743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 532-7179
1598718405 MATTHEW J RAGSDALE AAC
Individual
Anesthesiologist Assistant743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 532-7179

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356373336, enumerated in the NPI registry as an "individual" on July 07, 2006

The provider is located at 743 Spring St Ne Gainesville, Ga 30501 and the phone number is (770) 219-9000

The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine

The provider has more than 47 years of experience. He graduated from University Of South Florida College Of Medicine in 1979.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Molina Healthcare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $124.1 with an average copayment of $31.02 for new patient appointments. Established patients should expect a typical charge of $94.84 and an average copayment of 23.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes and Follow-up hospital inpatient care per day, typically 35 minutes.

This NPI record was last updated on July 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.